Active NPI
Salam Izdain Gharaybeh, M.D.
- Pediatric Nephrology Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- M3559
- Practice address
- 3533 S Alameda St
Corpus Christi, TX 78411-1721 - Phone
- (361) 694-6852
- NPI assigned
- Jun 7, 2006
- Last updated
- Oct 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | M3559 | TX | Primary |
Addresses
Primary practice location
3533 S Alameda St
Corpus Christi, TX 78411-1721
Mailing address
3533 S. Alameda Street
Kidney Center
Corpus Christi, TX 78411-6696
Phone (361) 694-4438
Other practice location 1
7210 McPherson Rd Ste 104
Laredo, TX 78041-6505
Phone (956) 794-8400
Other practice location 2
1120 E Ridge Rd
McAllen, TX 78503-5490
Phone (956) 688-1200
Other practice location 3
1515 Holcombe Blvd
Houston, TX 77030-4000
Phone (713) 792-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1809345-03 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Medical Center
Practice addresses (Care Compare)
1016 N Virginia St
Port Lavaca, TX 77979-3000
6410 Fannin St
Houston, TX 77030-3005
6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-0093
6431 Fannin St
MSB2.100
Houston, TX 77030-1501
Phone (713) 500-7700
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Physicians Referral Service | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1033157821
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- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
dba Plastic Reconstructive Surgical Services of South Texas
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1063452407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 S. ALAMEDA STREET",
"address_2": "KIDNEY CENTER",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784116696",
"telephone_number": "361-694-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-6852"
}
],
"practiceLocations": [
{
"address_1": "7210 McPherson Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780416505",
"country_code": "US",
"telephone_number": "956-794-8400",
"fax_number": "956-712-3769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 E Ridge Rd",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "785035490",
"country_code": "US",
"telephone_number": "956-688-1200",
"fax_number": "361-808-2075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 Holcombe Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304000",
"country_code": "US",
"telephone_number": "713-792-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHARAYBEH",
"first_name": "SALAM",
"middle_name": "IZDAIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "TX",
"license": "M3559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1809345-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.